NPI | 1104158690 |
---|---|
Doing Business As | GWINN FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DONALD A SIMILA CEO 906-483-1325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2010-02-08 |
Last Update Date | 2021-04-14 |